Deficiency Records for Bedrock Rehabilitation and Nursing Center at Lake

(Home page)

Updated as of March 01, 2024

A list of the most recent deficiencies for Bedrock Rehabilitation and Nursing Center at Lake. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-01-26 2023-03-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-26 2023-03-03 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-01-26 2023-03-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-26 2023-03-03 N
Keep all essential equipment working safely. Health 2023-01-26 2023-03-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-22 2021-08-25 N
Perform COVID19 testing on residents and staff. Health 2021-07-22 2021-08-25 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2019-12-05 2020-01-11 N
Keep residents' personal and medical records private and confidential. Health 2019-12-05 2020-01-11 N
Respond appropriately to all alleged violations. Health 2019-12-05 2020-01-11 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2019-12-05 2020-01-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-05 2020-01-11 N
Provide and implement an infection prevention and control program. Health 2019-12-05 2020-01-11 N
Install proper backup exit lighting. Fire Safety 2019-12-03 2020-01-11 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-12-03 2020-01-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-12-03 2020-01-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-12-03 2020-01-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-12-03 2020-01-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-03 2020-01-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-03 2020-01-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-12-03 2020-01-11 N
Have proper medical gas storage and administration areas. Fire Safety 2019-12-03 2020-01-11 N